K Number
K981975
Device Name
LATEX PATIENT EXAMINATION GLOVE POWDERFREE (BLUE COLOR) POLYMER COATED
Date Cleared
1998-11-20

(168 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
A patient examination glove is a disposable device intended for medical purposes that is worn on the examiners hand or finger to prevent contamination between patient and examiner. A MEDICAL GLOVE IS WORN ON THE HAND OF HEALTH CARE AND SIMILAR PERSONNEL TO PREVENT CONTAMINATION BETWEEN HEALTH CARE PERSONNEL AND THE PATIENT.
Device Description
Latex Patient Examination glove Powderfree (blue color) Polymer coated
More Information

Not Found

Not Found

No
The device description and intended use clearly define a standard medical examination glove, with no mention of AI or ML capabilities.

No
The device is a patient examination glove, intended to prevent contamination between patient and examiner, not to provide therapy.

No
The intended use states the device is a glove worn to prevent contamination between patient and examiner, which is a protective function, not a diagnostic one.

No

The device description clearly states it is a "Latex Patient Examination glove," which is a physical hardware device, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states the device is a "patient examination glove" worn on the hand or finger to prevent contamination between patient and examiner/healthcare personnel. This is a physical barrier function.
  • Device Description: The description confirms it's a "Latex Patient Examination glove".
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening. IVDs typically involve analyzing biological samples.
  • No Mention of Analysis or Interpretation: The description doesn't involve any form of analysis, measurement, or interpretation of biological markers or substances.

Therefore, the device described is a medical glove used for barrier protection, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiners hand or finger to prevent contamination between patient and examiner.
A MEDICAL GLOVE IS WORN ON THE HAND OF HEALTH CARE AND SIMILAR PERSONNEL TO PREVENT CONTAMINATION BETWEEN HEALTH CARE PERSONNEL AND THE PATIENT.

Product codes (comma separated list FDA assigned to the subject device)

80LYY, LYY

Device Description

Latex Patient Examination glove Powderfree (blue color) Polymer coated

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 880.6250 Non-powdered patient examination glove.

(a)
Identification. A non-powdered patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner. A non-powdered patient examination glove does not incorporate powder for purposes other than manufacturing. The final finished glove includes only residual powder from manufacturing.(b)
Classification. Class I (general controls). The device, when it is a finger cot, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 880.9.

0

Siam Sempermed D Corporation , Ltd


510(k) SUMMARY 01.11.1997

NOV 20 1998

· 0 APPLICANT:

Dr. POONSUK CHERDKIATGUMCHAI SIAM SEMPERMED CORPORATION. Ltd. 110 MOO 8 KANJANAVANIT ROAD PATHONG HATYAI SONGKHLA THAILAND 90230 TEL: 66 074 291 648 OR 291 649 FAX: 66 074 291 650

2.0 CONTACT PERSON

Dr. POONSUK CHERDKIATGUMCHAI SIAM SEMPERMED CORPORATION.,Ltd 110 MOO 8 KANJANAVANIT ROAD PATHONG HATYAI SONGKHLA THAILAND 90230 TEL: 66 074 291 648 OR 291 649 FAX: 66 074 291 650

MR DON MORRIS SATARI CORP.,Ltd 30798 US Hwy 19 N Palm Harbor USA FL 34684 TEL: 813 787 7250 OR 800 366 9545 FAX: 813 787 7558

  • 3.0 Device Class: I Product code: 80LYY
    4.0 Specification: Latex patient examination glove powderfree -Class I 80LYY meets all of the requirements of ASTM standard D3578-95

  • 5.0 Device Description: Latex Patient Examination glove Powderfree (blue color) Polymer coated

  • 6.0 Intended use: A patient examination glove is a disposable device intended for medical purposes that is worn on the examiners hand or finger to prevent contamination between patient and examiner.

  • 7.0 Surface treatment: Polymer coated, Halogenation/Siliconization and extensive washing in water Outer surface: Free from glove powder

as document and its contents are confidential. Do not discuss with or give access to people not designated.

1

510(k) SUMMARY 01.11.1997

~ 9 QUALITY CHARACTERISTICS

DESCRIPTIONASTM standardSPECIFICATION
DIMENSIONS-2 AQL 4.0S-2 AQL 4.0
Overall length230 min.240+/-10 mm
Width
(double wall)S 80 +/- 10 mm
M 95 +/- 10 mm
L 111 +/- 10 mmSS ≤ 80 mm
S 83 +/- 5 mm
M 94 +/- 5 mm
L 105 +/- 4 mm
XL 110 +/- 5 mm
Thickness, mm
Finger0.08 mm MIN.0.08 mm MIN.
palm0.08 mm MIN.0.08 mm MIN.
PHYSICAL PROPERTIESS -2 AQL 4.0S-2 AQL 4.0
Before and aging
Tensile strength
Elongation at breakAccording to
ASTM D3578-9514 Mpa MIN
700% MIN.
After aging
Tensile strength
Elongation at break14 Mpa MIN.
500% MIN.
WATER EXTRACTABLE
PROTEINN/AS-2 AQL 4.0
POWDER LEVELN/A2 mg MAX.
FREEDOM FROM HOLES-4 AQL 4.0II AQL 1.5

9.0 Conclusion: Siam Sempermed Latex Patient Examination Glove Powderfree (blue color) polymer coated meet the ASTM standard or equivalent standard meet pinhole FDA requirements

meet labeling claims (see 5.0 and 6.0 above)

Pousank

Dr. POONSUK CHERDKIATGUMCHAI Corporate Officer (quality)

2

Image /page/2/Picture/2 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of three human profiles facing to the right. The profiles are stacked on top of each other, with the top profile being the largest and the bottom profile being the smallest. The profiles are all black, and they are set against a white background. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the image.

Nov 20 1998

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SIAM SEMPERMED CORPORATION, Limited C/O Mr. Don Morris SATARI Corporation, Limited 30798 US Hiqhway 19N Palm Harbor, Florida 34684

K981975 Re : Latex Patient Examination Glove Powder-Free Trade Name: (Blue Color) Polymer Coated Requlatory Class: I Product Code: LYY October 20, 1998 Dated: October 21, 1998 Received:

Dear Mr. Morris:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) requlation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

3

Page 2 - Mr. Morris

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diaqnostic devices), please contact the Office of Compliance at (301) 594-4692. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to
premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Timoth A. Ulat Director Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

510 (k) NUMBER (IF KNOWN) : __ K981975

DEVICE NAME: LATEX PATIENT EXAMINATION GLOVE -POWDER FREE POLYMER COATED - BLUE INDICATIONS FOR USE:

A MEDICAL GLOVE IS WORN ON THE HAND OF HEALTH CARE AND SIMILAR PERSONNEL TO PREVENT CONTAMINATION BETWEEN HEALTH CARE PERSONNEL AND THE PATIENT.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED.)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use OR Over-The-Counter-Use X
(Per 21 CFR 801.109) (Optional Format 1-2-96)

(Division Sign-Off)
Division of Dental, Infection Control,
and General Hospital Devices
510(k) Number K98 1975